[胸肩峰皮瓣的微循环：监测与临床应用]
[Microcirculation of thoraco-acromial flaps: monitoring and clinical application].
作者信息
Yang X, Ma J, Sun G
机构信息
Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100041, China.
出版信息
Zhonghua Wai Ke Za Zhi. 2000 Feb;38(2):125-7.
OBJECTIVE
To monitor the microcirculation of thoraco-acromial flaps.
METHODS
The microcirculation in 12 thoraco-acromial flaps was monitored continuously by laser Doppler flowmetry (LDF).
RESULTS
The microcirculatory changes in thoraco-acromial flaps were divided into two phases: rapid rising (2 - 4 days after operation) and plateaurising (4 - 7 days after operation). PU values were 7.4 +/- 2.0, 7.6 +/- 2.3 and 7.3 +/- 1.6.
CONCLUSIONS
In division of the thoraco-acromial flaps within the plateau, the value (PU) returned to or exceeded 50% of that before application of the tourniquet. All flaps survived. The time of division was decreased to 6 - 8 after operation days.
目的
监测胸肩峰皮瓣的微循环。
方法
采用激光多普勒血流仪（LDF）对12例胸肩峰皮瓣的微循环进行连续监测。
结果
胸肩峰皮瓣的微循环变化分为两个阶段：快速上升期（术后2 - 4天）和平稳期（术后4 - 7天）。灌注单位（PU）值分别为7.4±2.0、7.6±2.3和7.3±1.6。
结论
在平稳期进行胸肩峰皮瓣断蒂时，其值（PU）恢复至或超过应用止血带前的50%。所有皮瓣均存活。断蒂时间缩短至术后6 - 8天。
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